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首页> 外文期刊>Surgical Endoscopy >Laparoscopic surgery for stage IV colorectal cancer.
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Laparoscopic surgery for stage IV colorectal cancer.

机译：腹腔镜手术治疗IV期大肠癌。

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BACKGROUND: The role of laparoscopic surgery in the management of stage IV colorectal cancer remains uncertain. METHODS: Sixty-five patients with stage IV disease from among 578 colorectal cancer patients who underwent laparoscopic surgery since 2001 were compared with 513 patients who had stage 0-III disease. The criteria for excluding stage IV patients from laparoscopic surgery were huge tumors, low rectal cancer, massive ascites due to peritoneal seeding, bowel perforation and/or obstruction, and poor general condition and/or cachexia. Data were analyzed by chi-square test or Student's t-test, with P < 0.05 being considered significant. RESULTS: The two groups of patients had similar demographic features. The open conversion rate was 4.6% (3/65 patients) in the stage IV group and 2.7% (14/513 patients) in the stage 0-III group, and the difference between the groups was not significant. In the stage IV group, depth of tumor invasion and tumor diameter were both significantly greater than in the stage 0-III group. However, operating time and blood loss were similar in the two groups (stage IV: 189.0 min and 95.0 g; stage 0-III: 182.5 min and 60.0 g), although blood loss was significantly greater in the stage IV group when patients undergoing rectal surgery were compared. The incidence of postoperative complications and the postoperative course of the two groups were similar. CONCLUSIONS: Despite their larger and more invasive tumors, the short-term outcome of laparoscopic surgery in patients with stage IV colorectal cancer was similar to that for stage 0-III patients. This result indicates that laparoscopic surgery can be successfully performed in selected stage IV colorectal cancer patients.
机译：背景：腹腔镜手术在IV期结直肠癌治疗中的作用尚不确定。方法：将2001年以来进行腹腔镜手术的578例结直肠癌患者中的65例IV期疾病患者与513例0-III期疾病患者进行比较。将IV期患者从腹腔镜手术中排除的标准是巨大的肿瘤，低位直肠癌，由于腹膜播种，肠穿孔和/或梗阻导致的大量腹水以及一般状况和/或恶病质。数据通过卡方检验或学生t检验进行分析，P <0.05被认为是显着的。结果：两组患者的人口统计学特征相似。 IV期组的开放转换率为4.6％（3/65例），0-III期组的开放转化率为2.7％（14/513例），两组之间的差异无统计学意义。在IV期组，肿瘤浸润深度和肿瘤直径均显着大于0-III期组。但是，两组的手术时间和失血量相似（IV期：189.0 min和95.0 g; 0-III期：182.5 min和60.0 g），尽管IV期组在接受直肠治疗的患者中失血明显更多比较手术。两组的术后并发症发生率和术后病程相似。结论：尽管IV期结直肠癌患者的肿瘤更大且更具侵袭性，但其腹腔镜手术的短期结局与0-III期患者相似。该结果表明，腹腔镜手术可以在选定的IV期结直肠癌患者中成功进行。

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